Dab tsi yog polycythemia, ua rau, yuav ua li cas paub thiab kho mob

Zoo Siab

• Cov tsos mob Polycythemia
• Yuav kuaj li cas
• Cov tseem ceeb ua rau polycythemia
• Yuav kho li cas

Polycythemia sib raug rau qhov nce ntawm cov qe ntshav liab, tseem hu ua cov qe ntshav liab lossis erythrocytes, hauv cov ntshav, uas yog, tshaj li 5,4 lab qog ntshav liab ib µL ntawm cov ntshav rau cov poj niam thiab saum 5.9 lab ntshav liab nyob rau hauv µL ntawm ntshav rau hauv tus txiv neej.

Vim tias qhov ntau thiab tsawg ntawm cov qe ntshav liab, ua rau cov ntshav liab ntau dua, uas ua rau cov ntshav kis mus rau txoj hlab ntsha nyuaj dhau, uas tuaj yeem ua rau qee cov tsos mob, xws li mob taub hau, kiv taub hau thiab txawm tias lub plawv nres.

Polycythemia tuaj yeem kho tsis tau tsuas yog txo cov qe ntshav liab thiab ntshav viscosity, tab sis kuj muaj lub hom phiaj ntawm kev daws mob tshwm sim thiab tiv thaiv cov teeb meem, xws li mob hlab ntsha tawg thiab mob ntsws txhaws.

Cov tsos mob Polycythemia

Polycythemia feem ntau tsis ua rau mob tshwm sim, tshwj xeeb yog tias qhov nce ntawm cov ntshav liab tsis txaus, tau pom los ntawm kev kuaj ntshav. Txawm li cas los xij, nyob rau qee kis, tus neeg yuav hnov ​​mob taub hau tas li, qhov muag plooj, liab tawv nqaij, nkees ntau dhau thiab khaus khaus, tshwj xeeb yog tom qab da dej, uas yuav qhia tau tias polycythemia.

Nws yog ib qho tseem ceeb uas tus neeg ua cov ntshav suav tsis tu ncua thiab, yog tias muaj cov tsos mob ntsig txog polycythemia tshwm sim, mus rau tus kws kho mob tam sim ntawd, vim tias qhov nce ntshav viscosity vim qhov nce ntawm cov qe ntshav liab nce qhov kev pheej hmoo ntawm mob stroke, myocardium thiab pulmonary embolism, piv txwv.

Yuav kuaj li cas

Kev kuaj mob ntawm tus mob polycythemia yog tsim los ntawm cov txiaj ntsig ntawm cov ntshav suav, uas nws tau pom tias tsis yog tsuas yog nce ntawm cov ntshav liab ntau xwb, tab sis kuj nce rau cov hematocrit thiab hemoglobin muaj nuj nqis. Saib seb cov ntshav suav pom tseem ceeb npaum li cas.

Raws li kev ntsuam xyuas ntawm cov ntshav suav thiab cov txiaj ntsig ntawm lwm qhov kev sim los ntawm tus neeg, polycythemia tuaj yeem muab faib ua:

• Thawj polycythemia, tseem hu ua polycythemia vera, uas yog kev mob caj ces yog yam muaj ntshav tsim tau txawv txav. Nkag siab ntxiv txog polycythemia vera;
• Txheeb ze polycythemia, uas yog tus cwj pwm los ntawm kev nce ntxiv ntawm cov qe ntshav vim qhov ua kom ntshav plasma tsawg, vim yog lub cev qhuav dej, piv txwv, tsis tas yuav qhia tias muaj ntau cov qe ntshav liab ntau dua;
• Theem nrab polycythemia, uas tshwm sim vim yog cov kab mob uas tuaj yeem ua rau nce ntxiv tsis yog hauv cov ntshav liab xwb, tab sis kuj tseem nyob hauv lwm qhov kev kuaj ntsuas.

Nws yog ib qho tseem ceeb uas ua rau polycythemia tau txheeb xyuas txhawm rau txhawm rau txhawm rau txhim kho hom kev kho mob zoo tshaj plaws, zam qhov ua kom pom lwm yam tshwm sim los yog cov teeb meem.

Cov tseem ceeb ua rau polycythemia

Tus thawj polycythemia, lossis polycythemia vera, qhov ua kom muaj ntau ntxiv hauv kev tsim cov qe ntshav liab yog kev hloov caj ces uas ua rau muaj kev cuam tshuam hauv kev tsim cov qe ntshav liab, uas ua rau muaj cov qe ntshav liab ntau ntxiv thiab, qee zaum, leukocytes thiab platelets.

Hauv qhov txheeb ze polycythemia, ntawm lwm qhov, qhov tseem ceeb ua rau lub cev qhuav dej, zoo li nyob rau hauv cov ntaub ntawv no muaj qhov ua tsis tau dej hauv lub cev, ua rau pom tseeb hauv cov ntshav liab tsawg. Feem ntau muaj tus txheeb ze polycythemia, qib ntawm erythropoietin, uas yog yam tshuaj lub luag hauj lwm rau kev tswj cov txheej txheem ntawm cov ntshav liab ntau lawm, yog qhov qub.

Secondary polycythemia tuaj yeem tshwm sim los ntawm ntau cov xwm txheej uas tuaj yeem ua rau cov ntshav liab ntau ntxiv, xws li cov kab mob plawv, mob ntsws, kev rog, kev haus luam yeeb, Cushing's syndrome, kab mob siab, thaum ntxov ua rau mob myeloid leukemia, nqaij hlav, raum. kev puas tsuaj thiab mob ntsws ntsws. Ib qho ntxiv, cov lej ntawm cov ntshav liab tau nce vim yog siv sijhawm ntev los ntawm corticosteroids, vitamin B12 tshuaj pab thiab tshuaj siv los kho mob cancer mis, piv txwv.

Yuav kho li cas

Kev kho mob ntawm polycythemia yuav tsum tau coj los ntawm hematologist, nyob rau hauv tus neeg laus, lossis tus kws kho mob menyuam yaus tus menyuam thiab tus menyuam, thiab nyob ntawm qhov ua rau muaj ntau ntxiv ntawm cov ntshav liab.

Feem ntau, txoj kev kho mob txhawm rau txo cov ntshav liab, ua kom cov ntshav muaj dej ntau dua thiab, yog li, daws cov tsos mob thiab txo qhov kev pheej hmoo ntawm cov teeb meem. Hauv polycythemia vera, piv txwv, nws raug nquahu kom ua kev kho mob phlebotomy, lossis los ntshav, uas cov ntshav liab ntau ntxiv raug tshem tawm.

Tsis tas li, tus kws kho mob tuaj yeem pom zoo kom siv cov tshuaj, xws li tshuaj aspirin, ua kom cov ntshav muaj ntshav ntau dua thiab txo qhov kev pheej hmoo ntawm cov ntshav txhaws, lossis ntawm lwm yam tshuaj, xws li Hydroxyurea lossis Interferon alfa, piv txwv li, kom txo qis cov ntshav liab.